v3.25.4
Income Taxes - Deferred Tax Assets and Liabilities (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Deferred tax assets    
Compensation and employee benefits $ 74 $ 215
Accruals and reserves 1,133 1,253
Chargebacks and rebates 1,482 1,354
Net operating losses and other carryforwards 16,022 15,815
Other 2,504 2,222
Total deferred tax assets 21,215 20,859
Valuation allowances (15,018) (14,823)
Total net deferred tax assets 6,197 6,036
Deferred tax liabilities    
Excess of book basis over tax basis of intangible assets (1,530) (1,969)
Excess of book basis over tax basis in investments (322) (302)
Other (630) (718)
Total deferred tax liabilities (2,482) (2,989)
Net deferred tax assets (liabilities) 3,715 3,047
Tax Credit Carryforward    
Valuation allowances (15,018) $ (14,823)
U.S. Federal, State and Non-U.S.    
Tax Credit Carryforward    
Operating loss carryforwards with expiration through 2045 38,400  
U.S. Federal and Non-U.S.    
Tax Credit Carryforward    
Operating loss carryforwards 35,100  
U.S. Federal and State    
Tax Credit Carryforward    
Tax credit carryforwards $ 614